Action - 360 Degree Feedback Survey Sample #14

360 Feedback Survey

Instructions

Our company is administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. The Leadership Team Members have agreed to participate and are seeking your feedback.

You have been chosen to offer feedback for the manager mentioned earlier. Your input plays a crucial role in 's leadership development journey. This tool aims to collect comprehensive feedback on core competencies and responsibilities that are vital for our organization's continued success. Your feedback will be combined with others to ensure your anonymity.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

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Action	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Takes preemptive actions avoid obstacles or delays.
Fixes problems when they occur.
Avoids "Analysis Paralysis" through action.
Starts immediately working on assignments.
Makes decisions confidently and stands by them.
Identifies opportunities for improvement before there is a problem.
Is proactive rather than reactive in work.
Identifies needs and takes steps to address them.
Converts plans into actions.
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?
Feedback	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Conducts regular feedback sessions, such as one-on-one meetings or performance reviews, to help maintain ongoing communication and ensure that employees stay on track with their development goals.
Is easy to approach with ideas and opinions.
Focuses constructive criticism on specific behaviors or outcomes rather than personal attributes.
Regularly revisits past feedback to evaluate progress and recalibrate efforts.
Responds quickly to performance concerns or achievements, avoiding unnecessary delays.
Equips managers with essential tools, training, and support to guarantee feedback is constructive, timely, and actionable.
Creates an atmosphere that supports and encourages dialogue, enabling employees to develop the necessary skills to effectively seek, provide, and receive feedback.
Utilizes feedback in a manner that prioritizes professional development and avoids any misuse.
Recognizes feedback as a vital catalyst for personal and professional development.
If [Participant Name] were to make improvements in Feedback, what are your suggestions for how he/she can improve this?
Establishing Focus/Direction	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Ensures that each team member is assigned some part of the project.
Provides training or mentorship to help guide employees in the department.
Focuses employee activities on the main goals for the department.
Motivates and inspires the team by connecting their objectives to the organization's.
Aligns the team's efforts, energy, and focus on a shared goal.
Sets production assignments for the department.
Aligns resource planning with departmental goals and organizational priorities.
Identifies gaps in infrastructure or support and proactively addresses them.
Creates structured timelines that provide clarity and reduce ambiguity.
If [Participant Name] were to make improvements in Establishing Focus/Direction, what are your suggestions for how he/she can improve this?
Administrative Skill	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Reviews documents for grammatical, spelling, or formatting errors to ensure accuracy and professionalism.
Proofreads and edits documents to ensure accuracy, clarity, and consistency.
Effectively conveys information verbally to others.
Prepares invoices, reports, memos, letters, financial statements, and other documents, using word processing, spreadsheet, database, or presentation software.
Analyzes RFQs or RFIs to understand the client's needs, specifications, and evaluation criteria.
Collaborates with others from various departments (e.g., sales, engineering, finance) to ensure accurate and comprehensive responses.
Carefully listens to what others are saying.
Implements company records retention policies.
Plans for the completion of projects by allocating appropriate physical and personnel resources.
If [Participant Name] were to make improvements in Administrative Skill, what are your suggestions for how he/she can improve this?
Juggling Multiple Responsibilities	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Coordinates the work of a team by assigning tasks to other team members.
Determines which tasks are critical and which tasks are optional.
Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
Ensures that assignments are prioritized according to the needs of the department/company.
Completes multiple tasks simultaneously.
Switches attention to more urgent tasks when necessary.
Is aware of the deadlines for specific tasks/assignments.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Begins tasks as soon as possible.
If [Participant Name] were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?
Safety	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Develops safety guidelines for the department.
Supports our company's safety programs.
Participates in safety training when offered.
Participates in safety training as applicable.
Develops a culture of safety.
Ensures compliance with safety regulations.
Creates accurate and effective measures of safety.
Encourages others to work safely.
Supports safety programs and procedures.
If [Participant Name] were to make improvements in Safety, what are your suggestions for how he/she can improve this?
Collaboration	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Creates a culture that fosters and values collaboration.
Fosters a collaborative work environment where everyone feels committed to achieve common goals.
Guides team members to reconcile their differences and collaborate effectively.
Develops networks and builds alliances across departments.
Facilitates resolving differences to strengthen team unity.
Rewards collaborative efforts of team members.
Works with others to achieve common objectives.
Addresses interpersonal issues with a collaborative mindset.
Displays a high degree of trust and credibility.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?
Business Acumen	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Anticipates the consequences to the business of different potential risk events.
Understands and applies business and financial principles.
Fosters a critical analysis of events and issues.
Prioritizes risks based on an understanding of their possible impact to the company.
Analyzes current business practices to make better informed decisions.
Understands the financial metrics used by the company.
Describes and summarizes data.
Facilitates creativity and innovation in individuals by helping them understand different aspects of the business.
Thoroughly understands the business needs of the customer.
If [Participant Name] were to make improvements in Business Acumen, what are your suggestions for how he/she can improve this?

73. Strengths
    
    
    
74. Areas for Development
    
    
    
75. Please give any final comments or suggestions for [Participant Name Here]'s assessment.